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NPI Profile for FRED ANTCZAK in OMAHA, NE.
An individual skilled in the practice, making, use and application to individual cases of an orthopedic appliance or apparatus used to support, align, prevent or correct deformities or to improve the function of movable parts of the body.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist | |
Orthotics/Prosthetics Fitter |
225000000X | |||
Pedorthist |
224L00000X |
| NPI # | 1649573676 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/14/2010 | |
| Last updated | 12/14/2010 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FRED ANTCZAK
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FRED ANTCZAK